Provider Demographics
NPI:1659694644
Name:UNIVERSAL SERVICE AND MORE, LLC
Entity type:Organization
Organization Name:UNIVERSAL SERVICE AND MORE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALYONE
Authorized Official - Middle Name:J
Authorized Official - Last Name:PRIEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-796-7764
Mailing Address - Street 1:487 BROADWAY STE 109
Mailing Address - Street 2:
Mailing Address - City:GARY
Mailing Address - State:IN
Mailing Address - Zip Code:46402-1234
Mailing Address - Country:US
Mailing Address - Phone:219-796-7764
Mailing Address - Fax:
Practice Address - Street 1:487 BROADWAY STE 109
Practice Address - Street 2:
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46402-1234
Practice Address - Country:US
Practice Address - Phone:219-796-7764
Practice Address - Fax:219-796-7764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-05
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200962330AMedicaid